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1669586798
KAILIE SHAW
TAMPA, FL
NPI
1669586798
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: FL ME23867)
Enumeration Date
2006-08-18
Last Update Date
2008-06-16
Business Address
-- KAILIE SHAW MD
12901 BRUCE B DOWNS BLVD
TAMPA, FL 33612-4742
Phone number: 813-974-2388
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Mailing Address
-- KAILIE SHAW MD
PO BOX 917770
ORLANDO, FL 32891-7770
Phone number:
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